• 아동학회지
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• 제26권4호
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• pp.125-143
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• 2005

This study focused on the importance of the attachment/caregiving system at a dyadic level, and examined relationships between maternal representations of caregiving, maternal caregiving behavior, and child attachment. Seventy-five middle-class mothers and their preschool children(ages 3-4) participated in the study. Results indicated a strong correspondence between maternal representations of caregiving and maternal caregiving behavior at the secure/insecure and ordered/disordered level. The correspondence between maternal representations of caregiving and their preschooler's attachment, and between maternal caregiving behavior and their preschooler's attachment at the secure/insecure level were also strong. The correspondence between maternal representations of caregiving and their preschooler's attachment was mediated by maternal caregiving behavior.

• 한국노년학
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• 제29권2호
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• pp.441-458
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• 2009

본 연구의 목적은 손자녀의 양육을 지원하는 지원 양육조모의 양육 스트레스와 그의 예언변수들을 탐색하고 이를 양육모집단과 비교 분석하는 것이다. 낮시간 동안 아동을 돌보는 할머니 152명(지원 양육조모)과 그 아동의 어머니 152명(부분 양육모), 낮시간 동안 아동을 돌보는 어머니 157명(주 양육모)의 양육스트레스, 우울, 양육행동, 스트레스 대처, 사회적 지지를 비교 분석하였다. 지원 양육조모는 주 양육모와 부분 양육모에 비해 유의하게 우울하였으나 양육 스트레스에서는 집단 간 차이가 나타나지 않았다. 지원 양육조모는 주 양육모보다 사회적 지지와 문제 중심 대처 능력이 뚜렷이 낮아 스트레스에 가용한 자원이 취약함을 시사하였다. 양육스트레스를 설명하는 예언변수로 양육행동(과잉반응성, 방임성), 스트레스 대처(문제 중심 대처 및 정서 중심 대처), 사회적 지지, 우울의 설명량을 위계적 회귀분석을 통해 탐색하였다. 지원 양육조모의 양육 스트레스를 설명하는 변수는 과잉 반응성, 우울이었다. 주 양육모도 과잉반응성과 우울이 양육 스트레스의 유의한 예언 변수였고, 정서 중심 대처도 예언 변수로 나타났다. 한편, 부분 양육모는 사회적 지지, 우울, 과잉 반응성이 양육 스트레스의 유의한 예언 변수로 나타나 낮시간 양육 집단과는 차이를 보였다. 우울이나 자원의 측면에서 조모 집단과 모집단의 차이를 논의하고, 예언 변수를 중심으로 양육 집단과 비양육 집단의 차이, 조모 집단과 모집단 간의 차이에 대해 논의하였다.

• 한국지역사회생활과학회지
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• 제21권4호
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• pp.469-479
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• 2010

Using data from the 2001 National Long-Term Care Survey database, this study analyzed gender differences in factors affecting caregiver burdens of spouse caregivers in Korea. Multiple regression was used to estimate factors influencing caregiver burdens of caregiving wives and caregiving husbands respectively. The results showed that there was a significant variability in predictors of caregiver burdens of spouses who take care of the impaired elderly. ADL functional status of care recipients and social support were significant for both the caregiving wives model and caregiving husbands model in influencing caregiving burdens. It was noticeable to report that a caregiver's self-rated health status, monthly caregiving expenses, a care recipient's self-rated health status were unique predictors for the caregiving wives model. These findings suggest that it is vital for planners and providers to take gender differences in spousal caregiving into account when designing and formulating community-based long-term care service programs.

• 성인간호학회지
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• 제16권2호
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• pp.264-275
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• 2004

Purpose: The purpose of this Study was to identify the factors that affect the caregiving burdens felt by the female family caregivers and quality of caregiving. Method: The subjects were 247 female family caregivers who were living with the elderly and were residing in Seoul. Data was collected from June 30, 2000 to Agust 11 by using questionnaire. The collected data was analyzed using descriptive statistics and hierarchial multiple regression with SAS/PC. Result: Situational factors had the greatest influence on the caregiving burdens. While the interactive factors of discrepancy between past and present image of elder and the caregiving belief were proven to be significant, the former had greater influence. The factors affecting the quality of caregiving, this is greatly influenced by situational factors and interactive factors. The discrepancy between past and present image of elder had relatively little influence while caregiving belief had the greatest influence. Among the situational factors, family stress had the greatest influence, while the caregiving burdens had little influence on the quality of caregiving. Conclusion: In order to improve the quality of caregiving in elderly by the female caregiver in the family, and to reduce the caregiving burdens, it is important to consider variables related to interaction as well as those directly concerned with caregiver and the elderly for nursing intervention.

• 대한간호학회지
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• 제45권1호
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• pp.97-106
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• 2015

Purpose: This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder. Methods: The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires. Results: Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators. Conclusion: Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

• 아동학회지
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• 제32권5호
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• pp.29-47
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• 2011

The purpose of this study was to examine the effects of spousal attachment, spousal caregiving, and parental caregiving behaviors on children's parental representations. One hundred and fifteen preschoolers (72 boys and 43 girls, aged between 4-5 years old) and their fathers and mothers participated in this study. The instruments used were the MacArthur Story-Stem Battery (Bretherton, Oppenheim, Buchsbaum, Emde, and the MacArthur Narrative Group, 1990), the Experiences in Close Relationships Scales (Brennan, Clark, & Shaver, 1998), the Caregiving Questionnaire (Kunce & Shaver, 1994), and the Parental Acceptance-Rejection Questionnaire (Rohner, 1991). The data were analyzed using descriptive statistics and structural equation modeling analysis. In conclusion, parents' spousal attachment, spousal caregiving, and parental caregiving behaviors have influenced on children's parental representations.

• 대한간호학회지
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• 제46권5호
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• pp.663-674
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• 2016

Purpose: The purposes of this study were to develop and test a prediction model for caregiving experiences including caregiving satisfaction and burden in dementia family caregivers. Methods: The stress process model and a two factor model were used as the conceptual frameworks. Secondary data analysis was done with 320 family caregivers who were selected from the Seoul Dementia Management Survey (2014) data set. In the hypothesis model, the exogenous variable was patient symptomatology which included cognitive impairment, behavioral problems, dependency in activity of daily living and in instrumental activity of daily living. Endogenous variables were caregiver's perception of dementia patient's unmet needs, caregiving satisfaction and caregiving burden. Data were analysed using SPSS/WINdows and AMOS program. Results: Caregiving burden was explained by patient symptomatology and caregiving satisfaction indicating significant direct effects and significant indirect effect from unmet needs. The proposed model explained 37.8% of the variance. Caregiving satisfaction was explained by patient symptomatology and unmet needs. Mediating effect of unmet needs was significant in the relationship between patient symptomatology and caregiving satisfaction. Conclusion: Results indicate that interventions focusing on relieving caregiving burden and enhancing caregiver satisfaction should be provided to caregivers with high levels of dementia patients' unmet needs and low level of caregiving satisfaction.

• Journal of Hospice and Palliative Care
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• 제24권2호
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• pp.116-129
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• 2021

Purpose: The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium. Methods: Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed. Results: The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium. Conclusion: Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.

• 대한가정학회지
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• 제32권2호
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• pp.61-78
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• 1994

This study was to provide the basis for the development of family life education programs for caregiving families. The data were collected from 374 adult children who were giving care to their older parents in Seoul. Adult children reported experiencing more caregiving problems in the areas of personlities of older parents psychological burden and parents' health than in the areas of caregiver's health and financial burden Women were more likely to experience caregiving problems than men. Adult children indicated higher levels of perceived knowledge on planning for later life psychological characteristics of older parents and keeping good relationships with older parents. They reported more need for knowledge on physical change of older parents and planning for later life while there were less need for knowledge on sharing caregiving roles with others and social service programs. The needs for caregiving education were also identified in the aspects as to participation purposes methods times and agencies. Given these findings this study suggests some practical implications for the development of family life education programs for caregiving families. Further studies should help to advance the development and practice of family life education programs for caregiving families.

• 한국콘텐츠학회논문지
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• 제18권12호
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• pp.611-623
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• 2018

본 연구는 중년기 여성의 친부모 부양경험에 관한 연구로써 친부모를 부양하는 중년 여성 10명을 대상으로 연구하였다. 그리고 질적연구 방법의 하나로 심층 면담을 통해 자료를 수집하여 Colaizzi의 현상학적 방법으로 분석하였다. 수집된 모든 자료들에서 총 244개의 문장을 추출하였고, 그 중에서 67개의 의미 있는 문장들을 도출하였다. 그리고 그 의미 있는 문장들을 9개의 하위주제로 범주화 하였고, 이어서 4개의 상위 주제를 도출하였다. 연구 결과로는 첫째, 부양에 대한 이유와 동기로는 어쩔 수 없는 상황에서 부양하게 되었고, 그리고 자녀로서의 당연한 의무감과 책임감을 들 수 있었다. 둘째, 부양경험에서 겪는 심리적 현상으로는 부양부담으로 인한 무거운 마음을 감수하고 후회하지 않도록 부모 곁을 지켜드리는 모습으로 나타났다. 셋째, 부양경험의 의미로는 부모님을 평생의 선물처럼 여기고 서로를 향한 마음이 깊어지는 긍정적 요소로 작용하고 있었다. 끝으로, 부양경험의 영향으로는 부모에 대한 이해 증가와 행복에 대한 깨달음 그리고 현재 삶에 대한 성찰과 미래 삶에 대한 조망 등의 결과를 얻게 되었다.